registration

European School on Magnetism 2009 – Registration form
September 1st –10th 2009, Timisoara (Romania)
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PERSONAL DETAILS
Family name: First name:
Gender: Male Female Age :
Lab. or Univ. or Company:
Nationality :
Full address including street name, ZIP, town and country (multi-line editing allowed):
Phone: Fax :
E-Mail:
Student PhD student Post-doc Senior
Research topic (very short):
In case you are a student, PhD or post-doc, please supply the name and Email of your scientist advisor:
Name: Email:
PARTICIPATION IN TUTORIALS
If possible I would like to attend the following practicals and tutorials:
Electronic structure calculations Strongly-correlated systems
Monte-Carlo techniques Micromagnetic simulations
Note :  Not all wishes may be granted because of either limited attendance constraints, or overlap of several
practicals in the timetable. .
POSTER CONTRIBUTION
Besides the lectures given by senior lecturers, poster sessions will be organized to allow the attendees to
present their research work. Would like to present and poster, and with what title:
Yes No
Title :
Note :  Not all wishes may be granted because of either limited attendance constraints, or overlap of several
practicals in the timetable. .
ACCOMMODATION
MEALS
Special food requirements:
ROOM
Accommodation is provided on the basis of double-occupancy room.
I would like to share my room with:
PAYMENT
REGISTRATION FEES
Reduced fees: 360€ (registration at the latest May 31th, along with payment before June 30th)
Regular fees: 400€ (registration starting June 1st, or for early registrants paying after June 30th)
Other cases (lecturers etc.)
Note :  The registration fees include accommodation, meals and breaks during the entire school duration.
MEANS OF PAYMENT
Direct bank transfer Check (France only)
Order from your lab, billing from ESM, followed by payment from your lab.
Send this form back via Email as a Word file (other file formats or Fax of printed form are accepted in case you
face technical problems with the form): esm@grenoble.cnrs.fr. Fax: +33 (0)4 76 88 10 01